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老年人肥胖症的流行病学

Epidemiology of obesity in elderly people.

作者信息

Lin C C, Li T C, Lai S W, Li C I, Wanga K C, Tan C K, Ng K C, Liu C S

机构信息

Department of Community Medicine, China Medical College Hospital, Taichung City, Taiwan.

出版信息

Yale J Biol Med. 1999 Nov-Dec;72(6):385-91.

Abstract

Our study used data collected at Chung-Shing-Shin-Tseun community in Taiwan in May 1998 to evaluate the relationship between obesity and the cardiovascular and sociodemographic risk factors in elderly people. Individuals aged 65 and over were recruited as study subjects. A total of 1093 persons, out of 1774 registered residents, were contacted in face-to-face interview. The response rate was 61.6 percent. However only 586 respondents took blood tests and completed questionnaires. Analysis in this study was based on these 586 subjects. The chi-square analysis and multivariate logistic regression were used to study the significant correlates of obesity. Our results showed that 66 percent were men and 34 percent were women. The mean age was 73.1 +/- 5.3 years. The overweight proportions were 24.8 percent in elderly men and 29.7 percent in elderly women. The obesity proportions were 12.7 percent in elderly men and 11.5 percent in elderly women. After controlling the other covariates, the multivariate logistic regression analysis showed that overweight and obesity were associated with hypertension, hypertriglyceridemia, and hyperglycemia. In conclusions, the prevalence of overweight and obesity is high in Taiwanese elderly people. Thus, it is necessary to evaluate other metabolic disorders if one metabolic abnormality is observed.

摘要

我们的研究使用了1998年5月在台湾中兴新村社区收集的数据,以评估老年人肥胖与心血管及社会人口学风险因素之间的关系。招募65岁及以上的个体作为研究对象。在1774名登记居民中,共联系了1093人进行面对面访谈。应答率为61.6%。然而,只有586名受访者进行了血液检测并完成了问卷调查。本研究的分析基于这586名受试者。采用卡方分析和多因素logistic回归研究肥胖的显著相关因素。我们的结果显示,男性占66%,女性占34%。平均年龄为73.1±5.3岁。老年男性超重比例为24.8%,老年女性超重比例为29.7%。老年男性肥胖比例为12.7%,老年女性肥胖比例为11.5%。在控制了其他协变量后,多因素logistic回归分析显示,超重和肥胖与高血压、高甘油三酯血症和高血糖有关。总之,台湾老年人超重和肥胖的患病率较高。因此,如果观察到一种代谢异常,有必要评估其他代谢紊乱情况。

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